SHAKELLAH AMINI M.D.
NPI 1598144347
Family Medicine in Oshkosh, WI

Q: What is Shakellah Amini's NPI number?

The NPI number for Shakellah Amini is 1598144347. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Q: What is Shakellah Amini's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shakellah Amini was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2015PECOS EnrolledAccepts Medicare Assignment

855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700(920) 456-7601 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2021, Apr 29, 2021 (2 updates tracked since 2021).

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About Shakellah Amini M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAKELLAH AMINI M.D. (NPI 1598144347) is an individual family medicine provider in Oshkosh, Wisconsin, licensed in Wisconsin (20596) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and maintains a secondary practice location in Hometown.

NPPES Registry Identity

NPI1598144347

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHAKELLAH AMINICredential: M.D.

Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668

Mailing Address855 N Westhaven DrOshkosh, WI 54904-7668 · (920) 303-8700 · Fax (920) 456-7601

Phone(920) 303-8700

Fax(920) 456-7601

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMay 27, 2015

Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration

NPPES CertifiedNovember 19, 2021

✔ NPI 1598144347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 20596✔ Licensed in IL · 125066654

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

855 N WESTHAVEN DR, Oshkosh, WI 54904

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Secondary Practice Location 1

Location 14140 Southwest HwyHometown, IL 60456-1135 · Phone (708) 422-5700 · Fax (708) 422-8225

Other Identifiers 1

Medicaid101161956WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shakellah Amini M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204131782

PECOS Enrollment IDI20210422001251

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE ANN OTS PENDING

Nurse Practitioner